Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Comparison of gluteus maximus muscle activity according to three different foot heights from the ground during bridge exercise.","authors":"Tae-Hyeong Kim, Su-Yeon Bae, In-Cheol Jeon","doi":"10.1177/10538127251324939","DOIUrl":"https://doi.org/10.1177/10538127251324939","url":null,"abstract":"<p><p><b>Background:</b> Gluteus maximus (GM) and biceps femoris (BF) have important roles in the stability and mobility of the hip joint during various functional activities including bridge exercises. In addition, the different heights of the foot during bridge exercise can contribute to the other muscle activities of the lower extremities. <b>Objective:</b> This study aims to investigate the muscle activities of GM, BF, and multifidus (MF) during bridge exercises based on three different foot heights in healthy individuals. <b>Methods:</b> Fifteen healthy subjects were participated. An electromyography device was used to measure muscle activities of GM, MF, and BF. The participants were asked to perform bridge exercises with their feet at three different heights (0 cm, 5 cm, and 10 cm) from the ground in a random order. <b>Results:</b> The muscle activity of GM was significantly different among three conditions (the foot heights 0 cm, 5 cm, and 10 cm) (adjusted p-value [P_adj] < 0.01). The GM muscle showed higher activity with a foot height of 10 cm compared to 0 cm and 5 cm (P_adj< 0.01). Both MF muscles showed higher activity with a foot height of 10 cm compared to 0 cm (P_adj< 0.01). BF muscle showed lower activity with a foot height of 10 cm compared to 0 cm (P_adj< 0.01). The ratio of GM/BF muscle activity was higher during the bridge exercise with a foot height of 10 cm than with 0 cm and 5 cm (P_adj< 0.01). <b>Conclusion:</b> Bridge exercise at 30° of hip abduction with a foot height of 10 cm can be recommended to selectively facilitate GM and MF muscle activity and improve the muscle activity ratio of the GM/BF.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251324939"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency, severity, and associated risk factors of low back pain among nurses working in public tertiary care hospitals of Rawalpindi. A cross-sectional study.","authors":"Waqas Ahmed Shehzad, Farrah Pervaiz, Mehwish Riaz, Azka Hafeez, Nusrat Batool, Sana Shaukat Siddiqui","doi":"10.1177/10538127251328532","DOIUrl":"https://doi.org/10.1177/10538127251328532","url":null,"abstract":"<p><p>BackgroundNurses face a greater risk of developing low back pain because of the physically demanding nature of their work and excessive workloads. In developing countries such as Pakistan, the lack of modern mechanical assistive devices for patient handling further increases this risk, as nurses often rely on manual methods for assisting and repositioning patients.ObjectivesTo determine the frequency of LBP among nurses working in tertiary care hospitals in Rawalpindi, the associated risk factors that lead to the prevalence of LBP, should be explored, and the intensity of LBP should be quantified via a visual analog scale (VAS) of pain intensity.MethodsThis quantitative descriptive cross-sectional study was conducted in Rawalpindi's three main tertiary care hospitals. Data were collected via a non-probability purposive sampling technique. A validated modified Nordic questionnaire was used to assess low back pain (LBP) frequency, whereas the Visual analog scale was used to quantify pain intensity. Statistical analysis was performed via SPSS version 23.ResultsAmong a sample of 300 female nurses, 60% were married, 74.3% had a normal BMI, and 79% reported no history of accidents. The 12-month prevalence of low back pain (LBP) was 72%, with 54.3% experiencing activity limitations due to LBP. Moderate pain was reported by 37.3% of the participants. Advanced age, workload, and job experience were identified as significant risk factors for LBP.ConclusionThis study confirms the high prevalence of low back pain (LBP) among nurses in Pakistan, which aligns with previous research. Key risk factors include older age, excessive workload, occupational stress, and over 15 years of job experience.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328532"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of manipulation with movement and muscle energy technique in elderly with knee osteoarthritis: A double-blind randomized control trial.","authors":"Dwi Rosella Komalasari, Mantana Vongsirinavarat, Patcharin Nilmart","doi":"10.1177/10538127251328541","DOIUrl":"https://doi.org/10.1177/10538127251328541","url":null,"abstract":"<p><p>BackgroundManaging knee Osteoarthritis (KOA) effectively often requires a multifaceted approach that includes various manual therapy techniques to reduce pain and improve joint function in the elderly. The effectiveness of manipulation with movement (MWM) and muscle energy technique (MET) is still unclear.ObjectiveTo compare the efficacy of MWM and MET in the elderly with KOA over time.MethodsA double-blind randomized control trial was conducted in the rehabilitation division of Surakarta Hospital, Indonesia, with 54 participants randomized into two groups. The effects of MWM and MET on pain (Numeric Rating Scale), knee range of motion, static and dynamic balance, lower limb muscle strength, and fear of falling (FoF) were observed after 4 weeks of treatment and 2 weeks of follow-up. Repeated-measures ANOVA compared mean outcomes over time between the groups, and a t-test compared mean differences between groups.ResultsThere was no mean difference in baseline between groups. MET and MWM showed a significant effect of time on all outcome measures (p < 0.05). MWM revealed higher knee flexion (<i>p </i>< 0.001), TUG (<i>p </i>= 0.010) and FoF (<i>p </i>= 0.008) after 4 weeks (p < 0.05). The follow-up resulted in significant differences between groups, knee flexion, TUG and one leg stance (OLS) on the left side and open eyes were higher in the MWM group.ConclusionsBoth MWM and MET were effective treatment strategies in managing KOA. MWM had a greater effect on improving knee flexion movement, dynamic balance and FoF than MET. OLS with open eyes was observed stable in follow-up observation in the MWM group.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328541"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of ultrasonographic cartilage and muscle thickness in female rheumatoid arthritis patients with knee pain.","authors":"Aylin Ayyıldız, Selda Çiftci İnceoğlu, Hakan Ayyıldız, Banu Kuran","doi":"10.1177/10538127251328903","DOIUrl":"https://doi.org/10.1177/10538127251328903","url":null,"abstract":"<p><p>BackgroundThis study aimed to show the effect of ultrasonographic muscle and cartilage thickness measurements on knee pain in RA patients.MethodsIn this cross-sectional and single-blind study, female patients aged 30-50 years old, diagnosed with RA, and in remission or low disease activity for at least 6 months were included. They were divided into two groups: with and without knee pain. Knee cartilage thickness measurements from 3 compartments, Quadriceps and Hamstring muscle thickness measurements were performed by ultrasound by a physician blinded to the patients' pain conditions.ResultsOf the 130 patients included in the study; the number of comorbidities in the group with knee pain(n = 61) and glucocorticoid use in the group without knee pain(n = 69) were significantly higher. No significant difference was detected in all cartilage and muscle thickness measurements in the groups with and without knee pain. The average cartilage thickness was found to be significantly lower in patients using glucocorticoids. A low level, positive and significant correlation was detected between cartilage thickness in the medial condyle and age and body mass index(BMI); and between cartilage thickness in the lateral condyle and BMI.ConclusionThere is significant loss of muscle and cartilage thickness in RA patients, even if it is not directly compatible with the pain condition. Being able to evaluate these losses with ultrasound in the follow-up and treatment of the disease is a great power in the hands of the physician.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328903"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal disorders: Piecing together the puzzle of evidence.","authors":"Judith R Meakin","doi":"10.1177/10538127251328628","DOIUrl":"10.1177/10538127251328628","url":null,"abstract":"","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"405-406"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of manual therapy and therapeutic exercise for reducing chronic non-specific neck pain: A systematic review and meta-analysis.","authors":"Dario Calafiore, Nicola Marotta, Umile Giuseppe Longo, Michele Vecchio, Roberta Zito, Lorenzo Lippi, Francesco Ferraro, Marco Invernizzi, Antonio Ammendolia, Alessandro de Sire","doi":"10.1177/10538127241304110","DOIUrl":"10.1177/10538127241304110","url":null,"abstract":"<p><p>BackgroundChronic non-specific neck pain (CNSNP) is a highly prevalent musculoskeletal disorder associated with significant disability, resulting in growing recourse to healthcare providers, huge cost for society and a great number of workdays lost.ObjectiveBy this systematic review and metanalysis we aimed to assess the effects of different physical therapy techniques in patients with CNSNP.MethodsPubMed, Scopus, and Web of Science databases were regularly used to search for articles published from 1^st January 2010 until 31^st January 2024. All RCTs were assessed for eligibility, including studies on: patients with diagnosis of CNSNP; physical therapy approaches such as manual therapy (MT) and therapeutic exercise (TE); waiting list, sham treatments, as comparison; Visual Analogue Scale, Numerical Rating Scale, Numerical Pain Rating Scale, and Numerical Pain Scale, as outcomes.ResultsAt the end of the search, 14025 studies were identified. After the removal of duplicates, 10,852 were considered eligible according to title and abstract screening, while 10,557 papers were excluded after this process. Therefore; a total of 11 RCTs were included in this systematic review. A decrease of pain intensity was observed in all groups, albeit in patients being treated with TE and MT. Besides this, the combination of TE and MT demonstrated a 91% of probability to be the best choice in patients with CNSNP at the first visit. Only the combination of TE plus MT/cognitive behavioral therapy and MT as a single treatment showed a reduction in pain score. Overall, 3 studies (27.2%) showed a low risk of bias, 6 (54.5%) showed some concerns in bias assessment, and 2 (19%) a high risk of bias.ConclusionCollectively, the findings of this systematic review showed that MT and TE might be considered as effective rehabilitation approaches for treatment of pain in patients with CNSNP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"407-419"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot randomized controlled trial of extracorporeal shock wave therapy for temporomandibular joint disorders.","authors":"Sheng Zhang, Yingchun Jiang, Deshuai Gao, Zheng Zhou, Qi Zhang","doi":"10.1177/10538127241309240","DOIUrl":"10.1177/10538127241309240","url":null,"abstract":"<p><p>BackgroundTemporomandibular joint disorders (TMDs) are collective terms for a series of clinical diseases. However, due to the complexity of the temporomandibular joint (TMJ), TMDs are still unknown as to their pathogenesis.ObjectiveThis pilot randomized controlled trial aimed to evaluate the efficacy of extracorporeal shock wave therapy (ESWT) in conjunction with drug therapy for myogenic TMDs<b>.</b>MethodsIn accordance with the CONSORT (Consolidated Standards of Reporting Trials) guidelines, we conducted a randomized controlled trial involving 60 patients diagnosed with myogenic TMDs. Patients with myogenic TMDs (Class I) were randomly divided into ESWT group and Ultrashort Wave (UW) group. The UW group was given ultrashort wave combined with drug therapy, while the ESWT group was given extracorporeal shock wave combined with drug therapy. The primary outcome was pain intensity measured by the Visual Analog Scale (VAS), and secondary outcomes included maximum mouth opening (MMO) and temporomandibular joint function indices.ResultsPost-treatment assessments revealed significant improvements in VAS scores and MMO in both groups (<i>p</i> < 0.05). Besides, compared with the UW group, the VAS score, the degree of MMO and Friction indexes of the TMDs patients in the ESWT group were remarkably improved after treatment (<i>p</i> < 0.05).ConclusionFor TMDs patients, extracorporeal shock wave combined with drug therapy can more quickly and effectively relieve the pain of the patient and improve the patient's dysfunction. However, due to the limitations of a small sample size and lack of prospective registration, these findings should be interpreted with caution. Future studies with larger sample sizes and proper registration are warranted.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"624-632"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-day, short- and long-term reliability of surface electromyographic measurements during a standardized measurement protocol for lower back pain patients.","authors":"Bruno Domokos, Adrian Hümmer, Julia Ettinger, Christoph Raschka, Christoph Spang, Peter Düking","doi":"10.1177/10538127241296341","DOIUrl":"10.1177/10538127241296341","url":null,"abstract":"<p><p>BackgroundThe identification of back muscle dysfunction is a prerequisite for successful rehabilitation. Therefore, surface electromyography can be used for diagnostic and evaluative purposes. However, data quality highly depends on a) variance and inaccuracies in methodological procedures and b) on time-dependent changes, particularly in complex conditions such as chronic low back pain.ObjectiveTo assess intra-day, short-term and long-term reliability of a protocol designed for electromyographic measurements of the paraspinal muscles.MethodsThree everyday tasks were selected for measurement in two healthy populations (mean age (years): 26.25/30.49 (SD: 7.05/11.03), sex-balanced). The procedure follows a detailed protocol (e.g., including ultrasound, electrode placement, movement commands). Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated.ResultsProne extension task demonstrated excellent test-retest agreement in all timespans (ICC = 0.92-0.96, SEM = 6.08-8.11, MDC = 16.85-22.49). Forward bending reliability ranged from moderate in long-term (ICC = 0.68-0.71, SEM = 1.98-2.52, MDC = 5.48-6.99) to good in intra-day (ICC = 0.76-0.89, SEM = 1.73-2.15, MDC = 4.79-5.95) to excellent in short-term assessment (ICC = 0.97, SEM = 1.07-1.21, MDC = 2.96-3.34). Sitting task showed the lowest test-retest agreement ranging between good to moderate in intra-day (ICC = 0.60-0.77, SEM = 1.22-1.26, MDC = 1.61-3.48)) and short-term reliability (ICC = 0.50-0.75, SEM = 1.24-2.06, MDC = 0.62-4.04) and moderate in long-term reliability (ICC = 0.65-0.71, SEM = 1.43-1.85, MDC = 3.95-5.12).ConclusionUsing standardized procedures, surface electromyography can provide reliable data for practitioners in low back pain rehabilitation. Timespan had a limited influence on reliability compared to the type of task performed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"506-513"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among lumbopelvic muscle activation, functional capacity, and self-reported clinical outcomes in individuals with chronic low back pain: A cross-sectional study.","authors":"Panakorn Sungnak, Pathtarajaree Junsiri, Pathaimas Kingcha, Kanokwan Polsa, Wallika Prasertkul, Patcharida Kunkhrong, Phongprapat Sena, Dachawin Laisirirungrai, Roongtiwa Vachalathiti, Peemongkon Wattananon","doi":"10.1177/10538127241304363","DOIUrl":"10.1177/10538127241304363","url":null,"abstract":"<p><p>BackgroundLumbar multifidus (LM) and transverse abdominis (TrA) muscle activation deficits have been reported in patients with chronic low back pain (CLBP). These activation deficits could be related to poor functional capacity and self-reported clinical outcomes.ObjectiveTo determine the associations between lumbopelvic muscle activation and functional capacity, as well as self-reported clinical outcomes in individuals with CLBP.MethodsThirty individuals with CLBP were recruited. Ultrasound imaging was used to measure muscle activation. Participants performed a functional reach test (FRT), 5-time sit-to-stand test (5STS), 2-min step test (2MST), prone trunk extension test (PTET), and abdominal curl test (ACT). Self-reported clinical outcomes including visual analog scale (VAS), duration of low back pain (DLBP), modified Oswestry disability questionnaire (MODQ), and short-form health survey (SF-36) were also collected.ResultsLM activation was significant associated (<i>P </i>< 0.05) with functional capacity (5STS and PTET) and self-reported clinical outcome (SF-36) were observed. Results also demonstrated TrA activation was significant associated (<i>P </i>< 0.05) with ACT, VAS, and DLBP.ConclusionOur findings suggest that clinicians should focus on LM activation to potentially improve functional capacity and quality of life, as well as minimize the chronicity. In addition, pain duration can influence TrA activation, while TrA activation training may be able to modulate pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"524-532"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of travel distance of center of pressure using the footscan system in individuals with and without flatfoot.","authors":"Hyoshin Eo, Donghwi Park, Kwangohk Jun, Sungho Woo, Won Mo Koo, Jong Min Kim, Byung Joo Lee, Min Cheol Chang","doi":"10.1177/10538127241304394","DOIUrl":"10.1177/10538127241304394","url":null,"abstract":"<p><p>BackgroundDiagnosis and treatment of flatfoot are often overlooked. Current diagnostic methods, such as lateral foot radiography and physical examination, primarily assess simple static foot conditions. The Footscan test can be employed to evaluate the static and dynamic balance of patients with flatfoot; however, the precise reference value for various Footscan test results remains undetermined.ObjectiveThis study aimed to contribute to the body of knowledge regarding flatfoot diagnosis by identifying objective differences between patients with and without flatfoot.MethodsThis study focused on individuals aged 19-50 years without ankle injuries or surgeries that could affect balance. The Footscan system was used to evaluate static balance using the total travel distance (TD) of the center of pressure in the standing position for 10 s. For dynamic balance indices, the sole was divided into forefoot, midfoot, and hindfoot zones by the system, and the contact distribution of each zone was quantified as a percentage during a 1-min walking period. Statistical analysis was performed to compare the normal and flatfoot groups, leading to the determination of cutoff values for clinically significant indices.ResultsThe study included 116 feet of 58 healthy individuals and 56 feet of 28 patients with flatfoot. Significant differences were found between the two groups for all static and dynamic balance variables. Logistic regression analysis identified TD (<i>p </i>= 0.001) and midfoot contact distribution (<i>p </i>< 0.001) as significant risk factors of flatfoot. Receiver operating characteristic analysis determined the cut-off values with the highest sum of sensitivity and specificity for diagnosis: TD ≥ 20.5 mm and midfoot contact distribution ≥ 18.95%.ConclusionsThe Footscan test indices showed significant differences in static and dynamic balance between patients with flatfoot and normal individuals. TD and midfoot contact distribution emerged as meaningful indicators of diagnostic potential.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"544-549"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}